10715 SW HIGHLAND DRIVE-2 J
y
J
�C
G
_2
G�
x
r
b
z
v
v
s
10715 SW HICHLAND DR
CITYOF T .�A R - MECHANICAL PERMIT
J
DEVELOPMENT SERVICES PE17,rr;!T4: MEC2003-00663
13125 SW Hall Blvd., Tigard, OR 9722:3 (503) 639-4171 DATE ISSUED: 11/20/03
PARCEL: 2S110DD-12000
SITE ADDRESS: 10715 SW HIGHLAND DR
S IBDIVISION: SUMMERNELD NO.13 ZONING: 1
BLOCK: LOT:690 JURISDICTION: TIG
CLASS OF WORK: ALT FLOO" FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: VENTS W/O APDL: VENT SYSTEMS:
STORIES: _ BOILERS/COMPRESSORS HOODS:
FU-E(-,-TYPES 0 - 3 HP: DOMES. INCIN:
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 -30 HP: REPAIR UNITS:
FIRE DAMPERS':: 30 - 50 HP: WOODSTOVES.
GAS PRESSURE: 50 + HP: ''L.O DRYERS:
FURN < 100K BTU: I AIR HANDLING UNITS � O�HER UNITS:
t=URN -100K BTU: r-: 10000 cfm: GAS OUTLETS:
> 10000 cfm:
Remarks: Replace tiurnace
Owner: ----FEES
DAVIS, LOUISE M Description i Date Amount
10715 SW HIGHLAND DRIVE
TIGARD, OR 97224 'Nil'(111 11crmit I Ce 11/20/03 $72.50
1 I \I "„~tate 11/20/03 $5.80
Phone: 503-020-51 14 Total $78.30_
Contractor:
CLIMATE CONTROL INC
16500 SW 72ND AVE
PORTLAND, OR 97224 REQUIRED INSPECTIONS
Duct Inspection
Phone: a 453-482'L Final Inspection
Reg #: LIL 62196
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore.
Specialty Codes and all ether applicable laws. All work will be done in .;„cordance with approved
plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended
for more than 180 days. ATTENTION. Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR
952-001-0100. You may obtain copies of these rules car direct questions to OUNC by calling
(503)2.46-6699. _
Issued By: ` J _ Permittee Signature: 7 u ` °
Call (503f639-4175 by 7:00 P.M. for inspections needed the next4l_'Aness day
Not# 13 03 02: 08p climate control 503 96C 7Z'24 p. 2
Mechanical Permit A y li on
.• , R
Date received: Permit
io.• ,p,{,���-Av
Cit�,_A"Wxjma of I gard -_�
Address: 13125 S>ai [fall },�(vd,'I'ig$Sd,Oft 97� ProJest/apph no.: Expire date•
Ciry of Tigard `VI J Y _
Phone: (503) 639-4171 tate issues; $y; Receipt no.:
Fax: (303) 598-1960 TIGAHU Case file n�.:
CITY OF Payment type:
Latid use approval: F )I�NGDIVISION
Building permit nu
p2
I &'.!lankly dwelling or accessory U Coin mercrai/indusria l U Multi-famii
U New construction r AddY U'1'enant improvement
J hinn/ttlleration/rcplm eutcut Q Olhei:
1
Job address; I U- SL-_l Hl vo cA_,,^C.� Indicate equipment quantities in boxes below Indicate the dollar
f;ldg_no,: i 5`te no.: �" value of all mechanical materials,equipment,labor,overhead,
Tax map/tax lot/account no,: "` ptct�it. Value$
Lot: Subdivision_: 'Sm
et- checklist for important application information and
Project Warne: 20321-15 - Dake i Jurisdiction's Fee schedule for residential hermit fee
City/county: 1 'a�C� ZIP: �� " 'l t 1..
Descriptio and to ton of work on premises: _ �t
11/tc� k T
Let,date of completion/Inspection; i Fee(pit.) 7ninf
_ _ Description Rel.oni Ices.O"Iyl
1'ertttnt intprovemr or change of use: 1 VA,C: - i
Is existing;lace heated ar cunditioned7 Cl Yes U No .Air handing unit CFI4
Is existing space insulated?0 Yrs ❑NoAir_CondAnoning(rite an n:nuireri)
-T•auon of existing sysiam
Bn,lcr/compressors '—
H_usineils name: (�Itrr 1cx.CA C.GN� rc) State boiler permit no.:
Address: t
--��•�--- l 1�y2" Fire/r Ini,T:c Qu tnpa(rJ act C!',tuKe etecton -"
City: P�>r(taState:()�Z ZIP. ]aZ� mut ft mp( )Cls pp ant rtq rc-�`-
Phune:5G, t.-t5,348- Fax lrA 7�a`I L%-mail: — �':afi%rt-pTticc im`are-Ti rner- .
CCB no.:: Loa_ 9 to — Including ductworit/vent liner `Yes U Nu 1 Iy• ly est
City/metro- no,: ly ly - _ _
nsta�iac a re ovate caters-susprn c ,
------ ._ _ wnll,or floor mounted
Name(piens,print): ttT (» r 7r v,.,- _Vrnt iter a rfrliauec of er than fumace- -
ltefri'gerat on:
Absorption units _ BTII/H
Nance: Chillers
Address: - �� Comr ressurs lip -
Clty: Zlp; — — nt'r»nntenta ex rtuttt am oc•ntilntlon:
-- Appli enc, vent
Phune: Fax: _ f rrdil. Dryer exhaust !
Hood!- I/�/res.khc'hen/hazmat
Names: —t�t.��sZ ��Ut J hood liz suppression system
- Exhaust fan with single duct(bath fans)
Marling address: 1 c— 3t,v �'f p vYCl1 - _.�_.
_. _ _ �j_j � -- � t xhaust s sten opsit rr,m cello or A('
CIS Fuelp p ng an ,t,,tut on!up to oullcrsl
�I'YPc LPG__ NO _ Oi!
Phone:cj03-en,)Ct 5ll Pax F-mail:� i ueT l i-n` _3 i d ann over out eir
rocess p p ng(sc emanc require )
Nance: Nun,b:r of coolers -
----- `- --- - Zfliierlister�siPl�anea or equ pmeT `—
_ _�__
Addhe3s: _ Uecolauvc lire Tarr
- --
f.'ity - --—
State: ZIP: Tnsrrt-
-type -
Phone. Fax: E-mail: WROT,tov pe tits ovC'f ve—"- - --
Applicant's signature: Date: I/=19-Q.3 Ot ler:
Name(print);
Not all juri0oinne wrept credit curds,please cnll juii dlcmmn for mm,e infomrxaon Permit fee ,. ,•$
Noticcr l!us pemri, appllcatit7n e..............
❑Viso U MasterLant ' —�— —
Minim-tin fee R
Credit card number expires if a permit is not obtained_ _._ /h.Yl-__ Plan review(a _ %) b
>tptros onion 180 days offer it has been
Is';tnte oI chelrt
�rder as shown nn credit curd accepted as cunv^ State surchar
C
le +cte(8%)._ $
---�
- s Anmunl TOTAL........................$ .
Cx holder s gnmurc
�- "1.4417 tMy omf
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175
INSPECT ION DIVISION Business Line: (503)639-4,71 MST
BLIP _
Received I 22 Date Reques 2 ��- AM -✓y PM___—_ BUP
Location �__�� - -_mak L L- t�"uite- -- MrS�/
Contact Person i Ph ( � L1. '� _-_ � z PLM
Contractor.. , ,-1 'L'i~d'�`�- -. Ph (- ) ---`� - SWFI
BUILDING__— Tenant/OA,)er _--- -- ------ _ ELC - -------------
Footing ELG
Foundation A�C-ss: ---—"- --`
Fig Drain FLR
l Crawl Drain _ -`----- -----
Slab Inspection Notes: SIT
Post& Beam
Shear Anchors _-
Ext Sheath/Shear
Int Sheath/Shear - --
Framing
Insulation
Drywall Nailing ------- --- -- - ---
- ----------
Firewall -
Fire Sprinkler - --- -----
Fare Alarm
Susp'd Cciling -
Roof
Other: --
Final
PASS PAh.- FAIL -
Pt.U�A81NG
Post+� 13eam
Under Slab --
Rough-ln
Water Service ---- ---.- ----_ -- -- -��-
Sanitary Sewer
Rain Dreins --- ---- - -- - -- -.----- - -
Catch Basin/Manhole
Storm Drain -- ------ -- -- -- --
Shower Pan
Other: --.-__--
Final ~---------
PASS PART FAIL
MECHANICAL
Post&Bears
Rough-In
Gas Lire
,Sin-QUa2.mpers --- -_-___ _-------------- --- - - - - --
.
Fri I ,'N >
PAPT FAIL -- ------- --- ---- ---- -- ---
__.C-IRICAL
Service -- --- ----- --
Rough-In
Low Voltace
Fire Alarm ----------------.--
Final action fee or leins
PASS PART FAIL p $-- required before next inspection. Pay at City Hall, 1at�..,2c
SW Hall Blvd.
Please call for reinspection RE: -- L1 Unable to inspect- no access
Fire Supply Line
ADA
Approach/Sidewalk Daty ` Inspector ___ _- _ _- _ Ext
Fina DO NOT REMOVE this Inspection record from the job site.
PAS: PART FAIL